Individual
MS. LAURIE SHANNON STEWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
215 KATHERINE DR STE A, FLOWOOD, MS 39232-9588
(601) 665-4162
Mailing address
173 MIDDLE ST, LANCASTER, NH 03584-3508
(603) 788-5029
(603) 788-5607
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
078577-23
NH
363L00000X
Nurse Practitioner
Primary
906283
MS
363L00000X
Nurse Practitioner
AP60072704
WA
363LF0000X
Family Nurse Practitioner
CNP181089
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609809243
—
WA
01
—
P01745240
RR MEDICARE WVH
WA
Enumeration date
07/08/2006
Last updated
01/05/2024
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